I have an interview in a mother-baby unit and am excited about this opportunity. I love my current job, but I am moving out of state, and decided to try something new. I currently work in MICU, and have also worked neuroscience, stroke research, ortho-trauma, but I started nursing school 10 years ago with the idea that I wanted to be a midwife. I obviously sidestepped and have enjoyed it, and now I can finally try to get into this specialty of nursing.
I was hoping that you could direct me to a website that will give me free CEU education materials in PP nursing, or a place where I can learn the shorthand, because I downloaded a sample note and there are lots of abbreviations I am not familiar with!
Here is the sample:
L&D Admit Note
26yo G3P1011, at 36W5D EGA, c/o ctx since 12 noon, getting stronger, LMP
with ROM @ 1pm - clear fluid EDC
(+) FM, (-) Vaginal bleeding EGA 36W 5D
Prenatal Care (PNC)-1st visit 12/15/95, total of 15 visits, RH clinic, denies complications in this pregnancy
O+ Rubella immune HbSag neg VDRL NR
GC/Chlam neg PPD neg GCT 102 GBS (-)
MSAFP wnl HIV neg PAP wnl
USG - 12/5 - 10 wks - cwd
2/15 - 20 wks - cwd, no anomalies
BP at 10 wks = 110/70, Hct 38
For G3P1011, I understand gravida 3, but why para 1011? I learned that it was gravida 2, para 2 or 1. I don't understand the string of numbers.
What is VDRL NR, GCT, MSAFP, PAP (in my world PAP is pulmonary artery pressure)?
I know I am jumping the gun here, but I like to be prepared. I think that mother-baby would be a good fit because education is one of my great passions, and in mother-baby there is ample need for education. I might be rather idyllic about mother-baby, but I imagine that I would get many opportunities to help with latch issues or show a new mom how to swaddle, lots of discharge instructions etc etc. I have sublimated my education drive in MICU by working on the education committee, so i hope that will work in my favor in terms of getting this job.
Anyways! Long winded way of asking for resources you use or education materials that you think might help me learn what I need in order to be a good PP nurse.
1011 = 1 term birth, 0 preterm births, 1 abortion be it spontaneous or induced, 1 living child. It is also known as the TPAL system...VDRL is venereal disesase and NR is nonreactive. GCT is glucose challenge test, more commonly known as GTT...MSAFP is maternal serum alpha fetoprotein test, which is a blood test that is a marker for certain fetal abnormalities. Pap is just short for pap smear. I wouldnt worry about any of these things though, you arent going to be expected to know them. The manager is going to want to know how you can relate your previous nursing experience to this position...with your MICU experience you have excellent critical thinking skills, you are probably good under pressure, and you will be able to recognize early signs of PP complications like a PE, hemorrhage, etc because of that experience. The manager will want to know you have a love for teaching because thats what 75% of PP care is. Whether you can decipher short hand on a triage note will definitely not come into play, I promise.
Last edit by NeoPediRN on Jun 16, '10